SELECTION OF AN APPROPRIATE VENOUS ACCESS IN A NEWBORN
Venous access is essential for the safe and effective treat-ment of sick, hospitalized newborns. Possible venous accesses that can be established in a newborn are peripheral intravenous cannula, central venous catheter, peripherally inserted central catheter (PICC) and umbilical venous catheter. The...
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| Format: | Article |
| Language: | Slovenian |
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The Society for Children with Metabolic Disorders
2025-05-01
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| Series: | Slovenska pediatrija |
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http://www.slovenskapediatrija.si/Portals/0/Clanki/2025/Slovpediatr-2025-2-03en.pdf
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| _version_ | 1849689312962019328 |
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| author | Eva Ojsteršek Jana Lozar Krivec Janja Gržinić Renata Vettorazzi |
| author_facet | Eva Ojsteršek Jana Lozar Krivec Janja Gržinić Renata Vettorazzi |
| author_sort | Eva Ojsteršek |
| collection | DOAJ |
| description | Venous access is essential for the safe and effective treat-ment of sick, hospitalized newborns. Possible venous accesses that can be established in a newborn are peripheral intravenous cannula, central venous catheter, peripherally inserted central catheter (PICC) and umbilical venous catheter. The choice appropriate approach depends on the newborn’s health status, expected duration of intravenous therapy, and solution properties. Umbilical venous catheter is the first choice for critically ill newborns, enabling intensive treatment but should be removed within five to seven days due to a high risk of complications. If the newborn remains unstable, central venous catheter is inserted for high-flow administration and hemodynamic monitoring. If the newborn is stable after umbilical catheter removal, the next venous access is determined by the expected infusion duration. For therapy exceeding seven days or requiring solutions incompatible with a peripheral route, PICC is preferred; otherwise, a peripheral intravenous cannula is used. Venous access methods vary in puncture site, catheter tip location, size, and number of lumens, leading to different functions and risks. A careful selection of the appropriate venous access is essential to minimize complications and ensure effective treatment. |
| format | Article |
| id | doaj-art-5d34e0761f63453dbf80fe2fec413ee3 |
| institution | DOAJ |
| issn | 1318-4423 2712-3960 |
| language | Slovenian |
| publishDate | 2025-05-01 |
| publisher | The Society for Children with Metabolic Disorders |
| record_format | Article |
| series | Slovenska pediatrija |
| spelling | doaj-art-5d34e0761f63453dbf80fe2fec413ee32025-08-20T03:21:42ZslvThe Society for Children with Metabolic DisordersSlovenska pediatrija1318-44232712-39602025-05-01322515410.38031/slovpediatr-2025-2-03en13184423SELECTION OF AN APPROPRIATE VENOUS ACCESS IN A NEWBORNEva Ojsteršek0Jana Lozar Krivec1Janja Gržinić2Renata Vettorazzi3 Klinični oddelek za neonatologijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija Klinični oddelek za neonatologijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija Klinični oddelek za neonatologijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija Zdravstvena fakulteta, Univerza v Ljubljani, Ljubljana, Slovenija Venous access is essential for the safe and effective treat-ment of sick, hospitalized newborns. Possible venous accesses that can be established in a newborn are peripheral intravenous cannula, central venous catheter, peripherally inserted central catheter (PICC) and umbilical venous catheter. The choice appropriate approach depends on the newborn’s health status, expected duration of intravenous therapy, and solution properties. Umbilical venous catheter is the first choice for critically ill newborns, enabling intensive treatment but should be removed within five to seven days due to a high risk of complications. If the newborn remains unstable, central venous catheter is inserted for high-flow administration and hemodynamic monitoring. If the newborn is stable after umbilical catheter removal, the next venous access is determined by the expected infusion duration. For therapy exceeding seven days or requiring solutions incompatible with a peripheral route, PICC is preferred; otherwise, a peripheral intravenous cannula is used. Venous access methods vary in puncture site, catheter tip location, size, and number of lumens, leading to different functions and risks. A careful selection of the appropriate venous access is essential to minimize complications and ensure effective treatment. http://www.slovenskapediatrija.si/Portals/0/Clanki/2025/Slovpediatr-2025-2-03en.pdf newbornvenous cannulacentral venous catetherumbilical catetherperipheral catether |
| spellingShingle | Eva Ojsteršek Jana Lozar Krivec Janja Gržinić Renata Vettorazzi SELECTION OF AN APPROPRIATE VENOUS ACCESS IN A NEWBORN Slovenska pediatrija newborn venous cannula central venous catether umbilical catether peripheral catether |
| title | SELECTION OF AN APPROPRIATE VENOUS ACCESS IN A NEWBORN |
| title_full | SELECTION OF AN APPROPRIATE VENOUS ACCESS IN A NEWBORN |
| title_fullStr | SELECTION OF AN APPROPRIATE VENOUS ACCESS IN A NEWBORN |
| title_full_unstemmed | SELECTION OF AN APPROPRIATE VENOUS ACCESS IN A NEWBORN |
| title_short | SELECTION OF AN APPROPRIATE VENOUS ACCESS IN A NEWBORN |
| title_sort | selection of an appropriate venous access in a newborn |
| topic | newborn venous cannula central venous catether umbilical catether peripheral catether |
| url |
http://www.slovenskapediatrija.si/Portals/0/Clanki/2025/Slovpediatr-2025-2-03en.pdf
|
| work_keys_str_mv | AT evaojstersek selectionofanappropriatevenousaccessinanewborn AT janalozarkrivec selectionofanappropriatevenousaccessinanewborn AT janjagrzinic selectionofanappropriatevenousaccessinanewborn AT renatavettorazzi selectionofanappropriatevenousaccessinanewborn |